HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONA\a
INFO MUST BE COMPLE-rkd FOR APPLICATION TO BE ACCEPTED
A Permit Number:
RECEIVED
_ Building Permit Applica ion AUG 2 4 2098
Plann'ng and Development Services ST. Lucie County, ermittin
Buildi bg and Code Regulation Division 9
2300 1 f ir- inia-Avenue -Fort Pierce FL 34982 - -
Phoni : (772) 462-1553 Fax: (772) 462-1578 Commercial eadential
PER Ili IT APPLICATION FOR: Cg Lucie Countty
Addres�ll: 7 �'%� ;S�6r7� ZfgRao-k .mac �� (oCf 5 f I �ril1 tZ ,3498& ��'
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t#1 B.vog.?V, FACUS A A4--;O 3 01' `rlrf Ft/r$lrf- fstvQs 6F Sf L" Co A")
Propel) Tax ID#: 3 a►S�O, 0003ouo`� Lot No.6_4
Site PI n Name: Block No.
Project Name:
Setba .�s Front Back: Right Side: Left Side:
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Additi nai worK to be pertormea under tnis permit— cnecK an tnat appiy:
IIiechanical Gas Tank Gas Piping _ Shutters Windows/Doors
JEl lectric Plumbing f Sprinklers _ Generator Roof
Total S". Ft of Construction: 145,2 &uafa Qdd.e Sq. Ft. of First Floor: V 63 AIR Cow
Cost of Construction: $ % a7643S"d• Utilities: Sewer Septic Building Height:
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Name'
• • . / • i / r
• • • '
• • 1 /
• Co •
Phone o-172-44- 0-�31
Zip Code: Fax:
Phone • 1
• -Title Holderon • -
from Owner listedabove)
or County04 .• I /
If value bf construction is 2500 or more, a RECORDED Notice of Commencement is required.
NER/ENGINEER:
_ Not.Applica
Address:
City: State:
Zip: , I Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Nami:
Add'rass:
City:
Zip: ill Phone:
MORTGAGE COMPANY:. _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
OWN R/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certi 'that no work or installation has commenced prior to the issuance of a permit.
St. Luci County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which i In conflict with any applicable Home Owners Association rules, bylaws or-andpcovenants that may restrict or prohibit such
structui .Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foll r wing building permit applications are exempt from undergoing a full concurrency review: room additions,
accesso(y structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARDING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
impro,'ements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befor;l the first inspection. If you intend to obtain financing, consult with lender or an attorney before
comm ncing work or recording our Notice of Commencement...
of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA��c,\�FLORIDACOO
COUNTY OF � k , COUNTY OF
The fo�',going instrument was acknowledgedbefore me The forgoing instrument was acknowledgebefore me
this i day of O► uq , 20 ,i by . this day of J� . 20 I by '
Name,, f person making statement.
Perso Id ally Known OR Produced Identification
Type of Identifican
Prnrhi �!ari iot- h
tZ,�bti�fi Hg��
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced � \� 10 L-
�, UU-; -r-� •' Z"' ' GEANNA MARE GIV NS r
(Signature of NotaryP lic- State of Flori ' Si" nature of Notary G oz2eza
ry e o
DEANNAMARIE GIVENS s '.Fp; „�P•' Bonded Thru N$ camber 16, 2020
Y �. + ry P6bllc Underwriter, .
Commission No. %-Tq Seasf� COMMISSION # GG 0 2
j o EXPIRES: Docember 16, 20 0
Co mission No. iF
%+�✓o •�F:oPr Bonded Thru Notary Public Under biters
REVI WS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE!III A
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